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Payment Information <br />and/or Amount <br />costs not to exceed <br />$58,000 on Master Index <br />Code2545O222. <br />for actua <br />costs not to exceed <br />$25,000 on Master Index <br />Code2545O222. <br />for actua <br />Due Date/Time Frame <br />August 31, <br />August 31,2022 <br />3t, <br />August 31,2022 <br />Deliverables/Outco mes <br />at-risk target population and criteria for <br />recipients <br />LHJ presents to DOH method to collect <br />demographics of recipients <br />ofprioritypresents to DOH <br />A copy of distribution plan <br /># of HEPA portable air cleaners purchased <br /># of vulnerable individuals receiving <br />intervention <br /># ofrecipients with reported demographics <br />LHJ presents to DOH summary report and <br />presentation <br />at-risk target population and criteria for <br />participation <br />A recruitment plan forparticipation in <br />residential cleaner air room project <br />LHJ presents a list of selected households <br />for residential cleaner air room project <br /># ofpeople providing informed consent <br />for participation in residential cleaner air <br />room project <br />Certification of completion forhuman <br />subj ects research training <br />A copy of recruitment summary <br />ofpriorityLHJ presents to DOH <br />copy of updated commrmication <br />An updated protocol for applying <br />interventions in residences <br />resource <br />A <br />Activity <br />smoke intervention (IIEPA portable air cleaner) to include:r Establishing selection criteria forrecipientso Developing method to collect demographics of <br />recipients <br />vulnera ls <br />r Establishing a plan for distributionr Purchasing HEPA portable air cleanersr Distnbuting HEPAportableaircleaners (target 100)o Collect demographicsofrecipients with developed <br />method <br />e Developing summaryreportofintervention <br />distribution <br />(r{EPA ailleportab <br />include:to <br />intervention <br />individual <br />smoke <br />vulnerable <br />wildfire <br />to <br />Distribute <br />cleaner) <br />of residential cleaner air room project to include:r Identifying vulnerable population based on health risk <br />and county need <br />e Establishing selection criteria forparticipation. Identifying individuals for intervention and enrolling <br />participants in project <br />. Project staff takinghuman subjects research trainingr Summarizingrecruitmentprocess <br />in a repetition <br />with to residences <br />Collaboratewith DOH to develop <br />repetition o f residentia I c lea n er a ir ro om proj ect to include :r Updatingcommunicationresourceto trainresidences on <br />creating cleaner air rooms <br />' Updating protocol for applying intervention and <br />tra ining and protocol for <br />ect in residences <br />Task <br /># <br />6 <br />7 <br />8 <br />9 <br />Exhibit A, Statement of Work Page 3 of5 Contra ct NumberCLH3 I 0 I 5